题名

頭頸癌病人衛生教育及個案管理

并列篇名

Patient Health Education and Case Management in Head and Neck Cancer Patients

DOI

10.6386/CGN.201906_30(2).0004

作者

張雅嵐(Ya-Lan Chang);鍾靜芳(Jing-Fang Zhong);林玉芬(Yu-Fen Lin);王昭慧(Chao-Hui Wang);李淑珠(Shu-Chu Lee)

关键词

頭頸癌 ; 衛生教育 ; 病人教育 ; 個案管理 ; head and neck cancer ; health education ; patient education ; case management

期刊名称

長庚護理

卷期/出版年月

30卷2期(2019 / 06 / 01)

页次

168 - 177

内容语文

繁體中文

中文摘要

台灣地區頭頸癌是常見的癌症,頭頸癌病人具有多樣性及多元族群文化特性。然而,頭頸癌治療衝擊身心層面,需要多專業的合作及照護。因此,病人衛生教育在診斷期、治療期及存活期扮演重要的功能。病人教育可減輕焦慮、提升自信、服藥知識、自我接納及正向社交。臨床照護中若能充分運用個案管理師的角色功能,提供適當且符合病人教育水準的病人教育,可改善健康行為,使衛生教育發揮最大效益。

英文摘要

Head and neck cancers (HNCs) are common cancer in Taiwan. HNCs patients are diverse and include multi-ethnic population. Treatments for HNC may impact physical and psychological dimensions and thus require cooperation and care from multidisciplinary teams. Health education play an important role during the diagnostic, treatment, and survival periods. Patient education can decrease anxiety, promote self-esteem, increase knowledge, enhance self-acceptance, and create positive social interaction. In the clinical care setting, case managers can perform appropriate role and provide adequate education to patients. Patient education can improve patients' health behavior and generate the best treatment outcome.

主题分类 醫藥衛生 > 預防保健與衛生學
醫藥衛生 > 社會醫學
参考文献
  1. Adelstein, D. J.,Li, Y.,Adams, G. L.,Wagner, H., Jr.,Kish, J. A.,Ensley, J. F.,Forastiere, A. A.(2003).An intergroup phase III comparison of standard radiation therapy and two schedules of concurrent chemoradiotherapy in patients with unresectable squamous cell head and neck cancer.Journal of Clinical Oncology,21(1),92-98.
  2. Aranda, S.,Jefford, M.,Yates, P.,Goung, K.,Seymour, J.,Francis, P.,Schofield, P.(2012).Impact of a novel nurse-led prechemotherapy education intervention (ChemoEd) on patient distress, symptom burden, and treatmentrelated information and support needs: results from a randomised, controlled trial.Annals of Oncology,23(1),222-231.
  3. Campos, R. J.,Maciel, C. T.,Cesca, M. G.,Leite, I. C.(2011).Voice analysis after cancer treatment with organ preservation.Head and Neck Oncology,3,19.
  4. Chang, M.,Kelly, A. E.(2007).Patient education: Addressing cultural diversity and health literacy issues.Urologic Nursing,27(5),411-417.
  5. Chang, Y. L.,Huang, B. S.,Hung, T. M.,Lin, C. Y.,Chen, S. C.(2019).Factors influencing body image in post-treatment oral cavity cancer patients.Psycho Oncology,28(5),1127-1133.
  6. Chen, S. C.,Huang, B. S.,Chung, C. Y.,Lin, C. Y.,Fan, K. H.,Chang, J. T.,Wu, S. C.(2018).Effects of a swallowing exercise education program on dysphagia- specific health-related quality of life in oral cavity cancer patients post-treatment: a randomized controlled trial.Supportive Care in Cancer,26(8),2919-2928.
  7. Chen, S. C.,Huang, B. S.,Hung, T. M.,Chang, Y. L.,Lin, C. Y.,Chung, C. Y.,Wu, S. C.(2018).Swallowing ability and its impact on dysphagia-specific healthrelated QOL in oral cavity cancer patients post-treatment.European Journal of Oncology Nursing,36,89-94.
  8. Chen, S. C.,Huang, B. S.,Hung, T. M.,Lin, C. Y.,Chang, Y. L.(2019).Impact of a behavior change program and health education on social interactions in survivors of head and neck cancer: Randomized controlled trial.Psycho Oncology,28(2),293-300.
  9. Chen, S. C.,Lai, Y. H.,Liao, C. T.,Chang, J. T.,Lin, C. Y.,Fang, K. H.,Huang, B. S.(2013).Supportive care needs in newly diagnosed oral cavity cancer patients receiving radiation therapy.Psycho Oncology,22(6),1220-1228.
  10. Commission for Case Manager Certification. (2010). Definition and philosophy of case management. Retrieved March 10, 2019, from https://ccmcertification.org/about-ccmc/aboutcase-management/definition-and-philosophycase-management
  11. Conway, D. I.,McMahon, A. D.,Smith, K.,Black, R.,Robertson, G.,Devine, J.,McKinney, P. A.(2010).Components of socioeconomic risk associated with head and neck cancer: A population-based case-control study in Scotland.British Journal of Oral and Maxillofacial Surgery,48(1),11-17.
  12. Cooper, A.F.,Hankins, M.,Rixon, L.,Eaton, E.,Grunfeld, E. A.(2013).Distinct workrelated, clinical and psychological factors predict return to work following treatment in four different cancer types.Psycho Oncology,22(3),659-667.
  13. De Haes, W.(1982).Patient education: A component of health education.Patient Counselling and Health Education,4(2),95-102.
  14. Dunne, S.,Coffey, L.,Sharp, L.,Desmons, D.,Cullen, C.,O'Connor, J.,Gallagher, P.(2019).Investigating the impact of self management behaviours on quality of life and fear of recurrence in head and neck cancer survivors: A population based survey.Psycho Oncology
  15. Fingeret, M. C.,Hutcheson, K. A.,Jensen, K.,Yuan, Y.,Urbauer, D.,Lewin, J. S.(2013).Associations among speech, eating, and body image concerns for surgical patients with head and neck cancer.Head and Neck,35(3),354-360.
  16. Friedman, A. J.,Cosby, R.,Boyko, S.,Hatton-Bauer, J.,Turnbull, G.(2011).Effective teaching strategies and methods of delivery for patient education: A systematic review and practice guideline recommendations.Journal of Cancer Education,26(1),12-21.
  17. Ganesh, R.,John, J.,Saravanan. S.(2013).Socio demographic profile of oral cancer patients residing in Tamil Nadu - A hospital based study.Indian Journal of Cancer,50(1),9-13.
  18. Guo, S. E.,Huang, T. J.,Huang, J. C.,Lin, M. S.,Hong, R. M.,Chang, C. H.,Chen, M. Y.(2013).Alcohol, betel-nut and cigarette consumption are negatively associated with health promoting behaviors in Taiwan: A crosssectional study.BMC Public Health,13,157.
  19. Hsu, Y. H.,Chai, H. Y.,Lin, Y. F.,Wang, C. H.,Chen, S. C.(2017).Health-related quality of life and satisfaction with case management in cancer survivors.Journal of Clinical Nursing,26(23-24),4597-4604.
  20. Hutcheson, K. A.,Alvarez, C. P.,Barringer, D. A.,Kupferman, M. E.,Lapine, P. R.,Lewin, J. S.(2012).Outcomes of elective total laryngectomy for laryngopharyngeal dysfunction in disease-free head and neck cancer survivors.Otolaryngology-Head and Neck Surgery,146(4),585-590.
  21. Jabbour, J.,Milross, C.,Sundaresan, P.,Ebrahimi, A.,Shepherd, H. L.,Dhillon, H. M.,Clark, J. R.(2017).Education and support needs in patients with head and neck cancer: A multiinstitutional survey.Cancer,123(11),1949-1957.
  22. Lee, C. C.,Chien, S. H.,Hung, S. K.,Yang, W. Z.,Su, Y. C.(2012).Effect of in dividual and neighborhood socioecono mic status on oral cancer survival.Oral Oncology,48(3),253-261.
  23. Mann, K. S.(2011).Education and health promotion for new patients with cancer: A quality improvement model.Clinical Journal of Oncology Nursing,15(1),55-61.
  24. Olsen, M. H.,Boje, C. R.,Kjær, T. K.,Steding-Jessen, C.,Johansen, C.,Overgaard, J.,Dalton, S. O.(2015).Socioeconomic position and stage at diagnosis of head and neck cancer - a nationwide study from DAHANCA.Acta Oncologica,54(5),759-766.
  25. Popovtzer, A.,Burnstein, H.,Stemmer, S.,Limon, D.,Hili, O.,Bachar, G.,Shvero, J.(2017).Phase II organ- preservation II trial: concurrent cisplatin and radiotherapy for a dvanced laryngeal cancer after response to docetaxel, cisplatin, and 5-fluorouracil-based induction chemotherapy.Head and Neck,39(2),227-233.
  26. Rawl, S. M.,Given, B. A.,Given, C. W.,Champion, V. L.,Kozachik, S. L.,Kozachik, S. L.,Williams, S. D.(2002).Intervention to improve psychological functioning for newly diagnosed patients with cancer.Oncology Nursing Forum,29(6),967-975.
  27. Sawada, N. O.,de Paula, J. M.,Sonobe, H. M.,Zago, M. M.,Guerrero, G. P.,Nicolussi, A. C.(2012).Depression, fatigue, and healthrelated quality of life in head and neck cancer patients: A prospective pilot study.Supportive Care in Cancer,20(11),2705-2711.
  28. Shah, J. P.,Gil, Z.(2009).Current concepts in management of oral cancer-surgery.Oral Oncology,45(4-5),394-401.
  29. Stefancy, A.,Hancock, B.,Meadow, M. T.(2013).The nurse manager: Change agent, change coach?.Nursing Administration Quarterly,37(1),13-17.
  30. Thoma, J. E.,Waite, M. A.(2018).Experiences of nurse case managers within a central discharge planning role of collaboration between physicians, patients and other healthcare professionals: A sociocultural qualitative study.Journal of Clinical Nursing,27(5-6),1198-1208.
  31. Verdonck-de Leeuw, I. M.,van Bleek, W. J.,Leemans, C. R.,de Bree, R.(2010).Employment and return to work in head and neck cancer survivors.Oral Oncology,46(1),56-60.
  32. Wood, S.,Bisson, J. I.(2004).Experience of incorporating a mental health service into patient care after operations for cancers of the head and neck.British Journal of Oral and Maxillofacial Surgery,42(2),149-154.
  33. World Health Organization. (2019). Definition health education. Retrieved March 10, 2019, from https://www.who.int/topics/health_education/en/
  34. Yeh, M. Y.,Wu, S. C.,Tung, T. H.(2018).The relation between patient education, patient empowerment and patient satisfaction: A cross-sectional-comparison study.Applied Nursing Research,29,11-17.
  35. You, E. C.,Dunt, D.,Doyle, C.(2016).What is the role of a case manager in community aged care? A qualitative study in Australia.Health and Social Care in the Community,24(4),495-506.
  36. 王宏銘、廖俊達、范綱行、吳樹鏗、詹勝傑、閻紫宸(2009)。頭頸部鱗狀細胞癌治療的新發展。腫瘤護理雜誌,9(增訂刊=supplement),51-67。
  37. 王育琳(2018)。台南=Tainan, Taiwan, RO,成功大學=National Cheng Kung University。
  38. 王瑞霞(2016)。病人賦權與健康素養。中華民國糖尿病衛教學會會訊,12(4),20-22。
  39. 宋佩宜、王桂芸(2009)。病人教育成效之影響因素及其改善策略。源遠護理,3(2),23-29。
  40. 周歆凱、林怡君、蔡明足、翁林仲、楊佩璇(2010)。探討區域醫院候診病人對數位學習之認知及衛生教育需求。澄清醫護管理雜誌,6(1),12-20。
  41. 洪聖惠、柯彤文、許瑋庭、朱嘉琳、王拔群(2017)。病家參與新利器~談醫病共享決策。醫療品質雜誌,7(1),26-34。
  42. 郭鳳霞、徐南麗(2002)。個案管理師的角色與必備能力。慈濟護理雜誌,1(3),22-27。
  43. 廖俊達、林倩伃、范綱行、王宏銘(2015)。適合台灣口腔癌病人的治療模式─某一醫學中心經驗。台灣癌症醫誌,2(2),103-116。
  44. 廖苓蓁(2017)。台中=Taichung, Taiwan, ROC,中臺科技大學=Central Taiwan University of Science and Technology。